CPT Codes For Chronic Care Evaluation And Management Services

Below is a list summarizing the CPT codes for chronic care evaluation and management services.

CPT Code 99490

CPT 99490 describes a service for managing multiple chronic conditions that are expected to last at least 12 months, or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline.

This service includes establishing, implementing, revising, or monitoring a comprehensive care plan and the first 20 minutes of clinical staff time directed by a physician or other qualified healthcare professional per calendar month.

CPT Code 99439

CPT 99439 describes an add-on code for a service for the management of multiple chronic conditions that are expected to last for at least 12 months or until the patient’s death, with the risk of death, acute exacerbation/decompensation, or functional decline, and the establishment, implementation, revision, or monitoring of a comprehensive care plan with additional clinical staff time directed by a physician or other qualified health care professional and should be listed separately in addition to code for primary procedure.

CPT Code 99441

CPT 99441 describes a service for managing multiple chronic conditions that are expected to last for at least 12 months, or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline.

This service includes establishing, implementing, revising, or monitoring a comprehensive care plan per calendar month, with the first 30 minutes provided personally by a physician or other qualified healthcare professional.

CPT Code 99437

CPT 99437 describes an add-on code for a service for managing multiple chronic conditions that are expected to last for at least 12 months, or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline.

The service includes establishing, implementing, revising, or monitoring a comprehensive care plan. Each additional 30 minutes by a physician or other qualified health care professional per calendar month should be listed separately in addition to the code for primary procedure.